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Acute Bronchitis and tracheitis diagnosis and management

Acute Bronchitis and tracheitis Often follows acute coryza ( Common Cold ) .
 • It is common in smokers and in patients with COPD (often pneumococci and H influenza).
• It also occurs in previously healthy persons (often viral).

How is Acute Bronchitis diagnosed ?


Clinical Picture 


• Irritating unproductive cough then productive cough with scanty mucoid sputum. After a day or so sputum becomes mucopurulent.
• Tracheitis leads to retrosternal discomfort and painful cough.
• Wheezing may occur.
• Rhonchi or crepitation that changed or disappear after cough may be present.
• Low grade fever may occur.

Investigations:

High TLC with increased neutrophil.

Complications:

• Bronchopneumonia.
• Exacerbation with development of type II respiratory failure in cases of severe COPD.
• Acute exacerbation of bronchial asthma and COPD.
Treatment (Spontaneous recovery occurs within few days).
• Specific treatment rarely necessary in previously healthy individuals, but it is
essential in patients with COPD and in asthmatics.
• We can give amoxycilline 500 mg/6 hours, expectorants e.g. K-iodides plus
paracetamol as an antipyretic if needed.
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Tamer Mobarak

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